It is incorrect to say that those who have their prostate removed ejaculate. However, the man who underwent surgery can still experience great pleasure during intimacy. Understand how this is possible.
Prostate removal is a procedure that can raise doubts and insecurities in men already weakened by cancer in this gland. Understanding whether those who have their prostate removed ejaculate can help patients feel more confident when undergoing the treatment.
It is important to understand that there may be changes in ejaculation, erection, fertility, and sexual pleasure after prostate removal, but sexual life can still be very satisfying.
Keep reading to learn the details of these changes and discover alternatives for sexual life.
What happens to ejaculation after prostate removal?
There are two scenarios for ejaculation after prostate removal.
The first is when the prostate and seminal vesicles are removed, as occurs in radical prostatectomy. In this case, the man no longer produces semen, and therefore cannot expel it during climax, although orgasm still occurs. This phenomenon is known as dry ejaculation.
On the other hand, in more conservative procedures, such as partial prostatectomy (or simple prostatectomy), part of the prostate may be preserved, which could allow some residual ejaculation after prostate surgery, but in smaller volume.
Other impacts of prostatectomy
The consequences of prostatectomy, especially in the case of radical prostatectomy, include:
- Changes in how orgasm is perceived, as it occurs without semen emission;
- Infertility;
- Loss of penile sensitivity;
- Erectile dysfunction.
Some surgical techniques aim to preserve nerves during prostatectomy to avoid impacts on erection and sensitivity.
Erection and sexual desire
Erectile dysfunction after prostatectomy can be an undesirable impact. This happens because the surgery can affect the nerves responsible for erection. The degree of this dysfunction varies depending on the patient’s age, general health, and the surgical technique used.
When this side effect occurs, there are therapeutic approaches that can assist in the recovery of erectile function and sexual well-being, depending on each case. The main treatment options include:
- Oral medications such as Sildenafil and Tadalafil;
- Injectable medications directly into the penis;
- Penile prosthesis placement, indicated for severe cases.
Sexual desire usually remains. Libido and the ability to become aroused are not eliminated by the surgery. However, the emotional impact can make sexual interest more challenging for the man.
Fertility and sperm production
Fertility after prostate removal is also affected. Since semen is no longer produced and/or expelled, natural fertilization is impossible.
However, it is important to remember that sperm production by the testicles continues. Therefore, assisted reproduction techniques can be evaluated to allow the man to have biological children.
Emotional aspects and couple adaptation
The diagnosis, treatment, and side effects such as erectile dysfunction can generate insecurity, fear of rejection, and even depression, both for the patient and the couple.
Thus, emotional support is crucial. Openly talking with a partner, seeking sexual therapy, or psychological counseling can help face this phase and rediscover the pleasure of intimacy.
Types of prostatectomy and their consequences for sexual life
There are significant differences between radical prostatectomy and partial prostatectomy.
- Radical prostatectomy: removes the entire prostate and seminal vesicles. Ejaculation after prostate removal will be dry, there will be a greater risk of erectile dysfunction after prostatectomy, and the man will be infertile.
- Partial prostatectomy (simple): removes only part of the prostate and may allow some ejaculation after prostate surgery, with a lower impact on erection and fertility.
Alternatives and treatments for recovering self-esteem and pleasure
Sexual recovery after prostate cancer can be challenging and lengthy. In the meantime, there are alternatives for sexual life after surgery, such as:
- Use of medications;
- Penile prosthesis placement;
- Use of devices like vacuum pumps prescribed by a urologist;
- Pelvic rehabilitation techniques with Kegel exercises;
- Support patient groups;
- Partner’s understanding.
Can you have pleasure without ejaculating?
Sexual life after prostatectomy can remain active and pleasurable, depending on each patient’s individual response and the therapeutic resources adopted, as total or partial prostate removal does not prevent orgasm.
Many men report sexual pleasure without a prostate, experiencing pleasant sensations even without semen. The so-called orgasm without ejaculation can be as intense as before, depending on the preserved sensitivity and the partners’ adaptation.
Knowing if those who remove their prostate ejaculate is important, but it is even more important to adhere to treatment. Sexuality and pleasure remain possible while the man ensures health care, with patience, medical care, and emotional support.
Dr. Paulo Egydio specializes in men’s sexual health, offering individualized and welcoming care for patients after prostate cancer treatment. Contact us and regain your sexual life quality.
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